7 Answers

Yes, carpal tunnel release is OFTEN performed on diabetic hands as the diabetes is actually a risk factor for the problem. The results can be less favorable in diabetics if they have neuropathy (damage of the nerves from the diabetes). The results are still usually gratifying even in the face of neuropathy, however.

Yes it is safe as long as the patient is well controlled for his diabetes, ie blood sugar and A1C. Diabetics actually have a tendency to develop compression neuropathies such as carpal tunnel syndrome.

Yes. Diabetes is actually one of the contributory causes of carpal tunnel syndrome as a chronically elevated blood glucose results in the deposition of glucose in the structure of the transverse carpal ligament that forms the roof of the carpal tunnel. The scientific term for the process is called glycation. The process of glycation causes thickening and increased stiffness of the ligament. As the amount of space in the carpal tunnel is limited, increased pressure on the median nerve may eventually become symptomatic, requiring decompression. Prior to surgery, your glucose management should be optimized to minimize the risk of infection.

If you husband is medically stable and blood sugar is under good control, it is typically safe to proceed with carpal tunnel release surgery. Has he failed conservative treatment with a night splint ? has he had a nerve conduction / EMG study ?

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